DJ Tiny Riderwheels

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DJ TINY RIDERWHEELS

Practice address

622 Woodstone Rd
Lithonia, GA 30058-5947

Phone

(770) 374-4088

NPI assigned

Oct 28, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Timothy L Thompson Sr.

Title

Ceo

Phone

(770) 374-4088

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023261765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 WOODSTONE RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585947",
            "telephone_number": "770-374-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 WOODSTONE RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585947",
            "telephone_number": "770-374-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ TINY RIDERWHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-374-4088",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Alternative Personal Care Home
• Divinity Group Enterprises Inc
• Carol S Dixon
• Catherine Dixon
• Martin A Dixon, D.O.
• Roxann Dooling, CPT, CCMA, CMA, CNA
• Nathalie Dorleans Ellis, L.P.C.
• Douglas R Brown DDS PA
• Mazie Douglas
• Shaquana Janeisha Douglas, HAIR LOSS SPECIALIST

• Durable Medical Equipment & Medical Supplies in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.